Applicant: _______________________________________________ Email:_____________________

Program: 10 1 N INDI    Circle one: Clinicals  /  Nursing & Healthcare  /  Combined Program
  N          Y Visa required? (always required for Brazil, China, India, Kenya, LdM, Russia, Uganda, Tanzania)
 


     Y   N     U.S. Citizen? (Citizenship: ______________)
 


     Y   N     90 or fewer days abroad?
 


 
 

Y          N

 Graduation Date is at least one semester after program end date? ___ / ___
 


 
 

STEP II

   
     
  Y          N

Course enrollment request is correct/meets course prerequisites.

Y   N   N/A   Able to attend all pre-travel course dates.

Y   N   INTRNTL 333 (optional)

Choose ONE:

Y   N    Nursing 415
            Y   N    Nursing 315
            Y   N    Consent of faculty leader

Y   N    Nursing 418
            Y   N    Consent of faculty leader

 


 
 

N          Y

 Special Student Form Required?  (__ undergraduate form OR __ graduate form)
    Y      N     UW Oshkosh student? (this includes those not taking for credit so that we can bill them on a student account)
    N      Y     UW Oshkosh undergr taking grad courses or UW Oshkosh grad taking undergrad courses? (requires GRAD form)
 


 
 

N          Y

 Credit Overload Form Required?
 


N      Y      N/A      Total number of credits, incl study abroad: 21 or greater (semester)
 


 
  Y          N G.P.A. ok? (minimum of 2.5 required; must check on TRANSCRIPT) ________ as of _____ /_____/_____
 


 
 

Complete  N

 Program-specific Materials Complete (STEP II)?
 


none
 


 
  Y      N

STEP II Complete? ______/______/0_____ Time: _____:_____ am / pm 
 


        Y   Application complete date/time entered in db?
            Y   exceptions.doc completed/clipped to this checksheet?
     
  _____/____ sendtoDirectorReview
    _____/____ (circle one) Approved/ Notes: ___________________________________
     
  _____/____ sendtoProgramManagerReview
    _____/____ (circle one) Approved/ Notes: ___________________________________
     
  Complete   sendForFaculty/HostReview  OR  addToWaitlist  OR  assertReadyForConditionalAdmit
 


 

_____/____

 exceptions.doc and/or application (addresses; addl questions; education; courses; expectations; transcripts) forwarded
             [Y]   N   Applicant requires faculty/host approval? ALL APPLICANTS REQUIRE INSTRUCTOR APPROVAL
             _____/____ circle one: approved / denied
     
 

STEP III

 
  Complete  N

STEP III and Program-specific Materials Complete?
Reminded / Complete    complete "medical" and "medical III" sections in on-line application NOW OR AFTER COND ADMIT
Reminded / Complete    complete "passport" section in on-line application OR submit copy of receipt NOW OR AFTER COND ADMIT
   

Reminded / Complete    2 recent professional passport photos
Reminded / Complete    Copy - driver's license (for the visa application)

     
 

Complete  N

 Student Reminded in Person: Program-specific Materials Required (after deadline)?
 


The following is due by the 3rd Fri of Nov:

Reminded / Complete    Passport
                                        Y    N    valid for 6 months from the date of arrival in the foreign country
                                        Y    N    TWO side-by-side blank pages (not including notes pages)

Reminded / Complete    On-line Visa Application (printable form from end of process)

     
  Seat Assignment
 

Y      N

 Seat assigned in db? ____/____
  ____/____ Special Student Form submitted to Admissions (undergrad) or Graduate Studies (graduate)
    Y / N Special Student Form required